摘要
目的了解刚果(金)人群感染疟原虫的种类及中国维和二级医院与刚果(金)医院实验室显微镜检查疟原虫的报告方法,为在非洲执行维和医疗任务的相关人员提供必要的建议。方法对收集的1 506份标本制作厚、薄血涂片,瑞氏染色后检查疟原虫感染状况;分别采用中国维和二级医院与刚果(金)当地医院镜检疟原虫的报告方法1对120例疟原虫阳性标本进行报告并比较;对50例维和医院报告阳性标本,采用不同血量和推片角度制作血涂片,比较对当地医院报告方法2的影响。结果刚果(金)疟疾以恶性疟为主。采用维和医院报告方法的准确率显著高于当地医院报告方法1(P<0.05)。不同的标本量和推片角度对当地医院疟原虫感染报告方法2的报告结果有显著影响(P<0.05)。结论刚果(金)人群中主要流行恶性疟;中国维和部队二级医院镜检疟原虫的报告方法优于刚果(金)当地医院的报告方法。
Objective To ascertain types of Plasmodium in the Congo（Democratic Republic of the Congo） and methods of reporting Plasmodium infection in a Chinese level Ⅱ hospital supporting peacekeeping operations and local Congolese hospitals in order to provide advice to medical personnel involved in peacekeeping in Africa.Methods Thick and thin blood smears were prepared from 1 506 specimens and Plasmodium infection was detected after Wright staining.One hundred and twenty specimens that were positive for Plasmodium were reported in accordance with reporting by a Chinese level Ⅱ hospital and reporting method 1 used by Congolese hospitals,and the two methods of reporting were then compared.Fifty specimens that a Chinese level Ⅱ hospital reported as testing positive for malaria were prepared as blood smears with different volumes and spreader slide angles,and Plasmodium reporting by the level Ⅱ hospital was compared to reporting method 2 of Congolese hospitals.Results The main form of malaria in the Congo was Plasmodium falciparum.Reporting of Plasmodium infection by a Chinese level Ⅱ hospital supporting peacekeeping operations was more accurate than reporting method 1 used by Congolese hospitals（P〈0.05）.Specimens with different volumes and spreader slide angles had a significant impact on the results of reporting method 2 used by Congolese hospitals（P〈0.05）.Conclusion Plasmodium infection in the Congo is mainly caused by P.falciparum.Reporting of that infection by a Chinese level Ⅱ hospital supporting peacekeeping operations is superior to methods of reporting used by Congolese hospitals.
出处
《中国病原生物学杂志》
CSCD
2011年第5期349-350,363,共3页
Journal of Pathogen Biology
关键词
刚果(金)
维和二级医院
疟原虫
报告方法
Congo（DRC）
Peacekeeping level Ⅱ hospital of China
Plasmodium
report methods
